Structure and analysis of complications of surgical treatment of non-organ-confined retroperitoneal tumors

The article presents retrospective analysis of complications of surgeries for non-organ-confined retroperitoneal tumors. The study includes information about 236 patients operated between 1996 and 2016 in Irkutsk Regional Cancer Center. All patients were divided into two groups: main group (n = 102]...

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Autores principales: R. I. Rasulov, A. A. Muratov, V. V. Dvornichenko
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Lenguaje:RU
Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2018
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spelling oai:doaj.org-article:7e8b455c153b4977978ad291fba490542021-11-23T06:14:40ZStructure and analysis of complications of surgical treatment of non-organ-confined retroperitoneal tumors2541-94202587-959610.29413/ABS.2018-3.2.8https://doaj.org/article/7e8b455c153b4977978ad291fba490542018-04-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/558https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article presents retrospective analysis of complications of surgeries for non-organ-confined retroperitoneal tumors. The study includes information about 236 patients operated between 1996 and 2016 in Irkutsk Regional Cancer Center. All patients were divided into two groups: main group (n = 102] with resection of non-organ-confined retroperitoneal tumors in extended and combined version, and control group (n = 134] with isolated removal of tumor. The patients, who received combined version of operations, are presented in two groups (mono-organ resection group (n = 50] and multi-organ resection group (n = 52]]. Postoperative deaths and complications in these groups were analyzed. Clavien - Dindo classification was used in examining the structure of postoperative complications. 1t was established, that postoperative complications occurred in 44 (19 %] cases. The most frequent ones were intra-abdominal bleeding (3.8 %], wound infection (3 %], femoral nerve neuropathy (2.1 %] and abscess of abdominal cavity or small pelvis (2.1 %]. Among patients with isolated removal of non-organ-confined retroperitoneal tumors, post-operative complications made 14 % (16 cases]. Post-operative complications in the group with extended and combined resection of non-organ-confined retroperitoneal tumors reached 23 % (28 cases]. Accordingly, it was established that enhancing volume of surgery substantially increases frequency of post-operative complications (p = 0.02]. Surgical treatment of non-organ-confined retroperitoneal tumors involve developing post-operative complications of third degree, according to Clavien - Dindo classification. The complications demand invasive manipulation for their management. While examining the structure of extended and combined operations, in comparison with mono-organ resections, multi-visceral resections do not substantially increase the number of post-operative complications (p = 0.903). Most of complications were controlled and their timely management led to full recovery of patients.R. I. RasulovA. A. MuratovV. V. DvornichenkoScientific Сentre for Family Health and Human Reproduction Problemsarticlenon-organ-confined retroperitoneal tumorcomplicationsclavien - dindo classificationkidney replantationcombined operationsScienceQRUActa Biomedica Scientifica, Vol 3, Iss 2, Pp 44-49 (2018)
institution DOAJ
collection DOAJ
language RU
topic non-organ-confined retroperitoneal tumor
complications
clavien - dindo classification
kidney replantation
combined operations
Science
Q
spellingShingle non-organ-confined retroperitoneal tumor
complications
clavien - dindo classification
kidney replantation
combined operations
Science
Q
R. I. Rasulov
A. A. Muratov
V. V. Dvornichenko
Structure and analysis of complications of surgical treatment of non-organ-confined retroperitoneal tumors
description The article presents retrospective analysis of complications of surgeries for non-organ-confined retroperitoneal tumors. The study includes information about 236 patients operated between 1996 and 2016 in Irkutsk Regional Cancer Center. All patients were divided into two groups: main group (n = 102] with resection of non-organ-confined retroperitoneal tumors in extended and combined version, and control group (n = 134] with isolated removal of tumor. The patients, who received combined version of operations, are presented in two groups (mono-organ resection group (n = 50] and multi-organ resection group (n = 52]]. Postoperative deaths and complications in these groups were analyzed. Clavien - Dindo classification was used in examining the structure of postoperative complications. 1t was established, that postoperative complications occurred in 44 (19 %] cases. The most frequent ones were intra-abdominal bleeding (3.8 %], wound infection (3 %], femoral nerve neuropathy (2.1 %] and abscess of abdominal cavity or small pelvis (2.1 %]. Among patients with isolated removal of non-organ-confined retroperitoneal tumors, post-operative complications made 14 % (16 cases]. Post-operative complications in the group with extended and combined resection of non-organ-confined retroperitoneal tumors reached 23 % (28 cases]. Accordingly, it was established that enhancing volume of surgery substantially increases frequency of post-operative complications (p = 0.02]. Surgical treatment of non-organ-confined retroperitoneal tumors involve developing post-operative complications of third degree, according to Clavien - Dindo classification. The complications demand invasive manipulation for their management. While examining the structure of extended and combined operations, in comparison with mono-organ resections, multi-visceral resections do not substantially increase the number of post-operative complications (p = 0.903). Most of complications were controlled and their timely management led to full recovery of patients.
format article
author R. I. Rasulov
A. A. Muratov
V. V. Dvornichenko
author_facet R. I. Rasulov
A. A. Muratov
V. V. Dvornichenko
author_sort R. I. Rasulov
title Structure and analysis of complications of surgical treatment of non-organ-confined retroperitoneal tumors
title_short Structure and analysis of complications of surgical treatment of non-organ-confined retroperitoneal tumors
title_full Structure and analysis of complications of surgical treatment of non-organ-confined retroperitoneal tumors
title_fullStr Structure and analysis of complications of surgical treatment of non-organ-confined retroperitoneal tumors
title_full_unstemmed Structure and analysis of complications of surgical treatment of non-organ-confined retroperitoneal tumors
title_sort structure and analysis of complications of surgical treatment of non-organ-confined retroperitoneal tumors
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2018
url https://doaj.org/article/7e8b455c153b4977978ad291fba49054
work_keys_str_mv AT rirasulov structureandanalysisofcomplicationsofsurgicaltreatmentofnonorganconfinedretroperitonealtumors
AT aamuratov structureandanalysisofcomplicationsofsurgicaltreatmentofnonorganconfinedretroperitonealtumors
AT vvdvornichenko structureandanalysisofcomplicationsofsurgicaltreatmentofnonorganconfinedretroperitonealtumors
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